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Discuss the importance of having access to an opioid overdose reversal agent, especially if the patient has risk factors for overdose (e.g., concomitant use of CNS depressants, a history of opioid use disorder, or prior opioid overdose) or if there are household members (including children) or other close contacts at risk for accidental ingestion or opioid overdose

Cyanocobalamin 1000mcg Sodium Chloride 0.9% Benzyl Alcohol 1.5% water for injection

Conversion to the corresponding -imino and -keto acids, and to -ketobutyrate and methane sulfonamide